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Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

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Diagnosis and Management ... of Hypernatremia ... #Hypernatremia ... #Differential # ... Algorithm #Causes
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... EABV) - Consider: Hypovolemia ... #diagnosis #differential ... #algorithm #causes ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm Hypovolemia ... #Differential # ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Malignancy True hypovolemia ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Malignancy True hypovolemia ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
generalized status epilepticus ... which may cause ... may cause aspiration ... , hyperkalemia, ... #Management #Neurology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... - Differential ... Hyperglycemia, Hyponatremia ... Hypomagnesemia, Hypocalcemia ... #neurology
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm
Febrile
Infection
 • Sepsis
 • Encephalitis
 • Meningitis
Metabolic
Causes of Secondary ... Provoked Seizures - Differential ... Hyperglycemia • Hypocalcemia ... • Hyponatremia ... #Differential #
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... the underlying cause ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
Causes of Status Epilepticus in Adults
METABOLIC DISTURBANCES
Hepatic encephalopathy
Hypocalcemia
Hypoglycemia or hyperglycemia
Hyponatremia
Uremia
INFECTIOUS PROCESSES
Central nervous system abscess
Encephalitis
Meningitis
WITHDRAWAL SYNDROMES
Alcohol
Antiepileptic drugs
Baclofen
Barbiturates
Benzodiazepines
CENTRAL
Causes of Status ... encephalopathy Hypocalcemia ... hyperglycemia Hyponatremia ... #Seizures #Differential ... #neurology